| NPI | 1558943142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1142372) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 787329) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-11-22 |